Tag Archive for: CBT

Three Simple Ways to Enhance Mental Health Resilience

Cultivating resilience can lead to greater confidence, autonomy and mastery.

There is a consensus among professionals that ‘mental health’ is a positive state where an individual is flourishing, thriving and meeting their full potential in life. There are many cognate terms for ‘mental health’ including subjective well-being, quality of life or simply happiness.

Another term commonly used in relation to positive mental health is ‘resilience’. This phrase is actually borrowed from engineering, where it refers to the ability of a physical material to withhold external stress. A resilient material thus has hardiness, flexibility and strength.

What is Mental Health Resilience?

In psychiatry, the phrase is used similarly, referring to the ability of an individual to handle stress and adversity. It is sometimes referred to as ‘bouncing back’ and can be particularly important after people have experienced difficult circumstances such as losing a job, divorce or bereavement.

Research on resilience indicates that it is not a fixed attribute, but can change over time. Indeed, individuals can cultivate resilience, though this can require time and effort.

In fact, the road to resilience often involves pain and struggle, as does the mastery of any new life-skill. For example, learning to ride a bike often involves falls, cuts and bruises, but results in a new-found ability and autonomy. The same can be said for the resilience-enhancing strategies described below.

Skill Acquisition

Evidence suggests that the acquisition of new skills can play a key role in enhancing resilience. Skill-acquisition helps develop a sense of competency and mastery, which can be deployed in the face of other challenges. This can also increase self-esteem and problem-solving ability.

Skills to be learnt depends very much on individual circumstances. For some, this will mean learning cognitive and emotional skills that may help everyday functioning, for example active listening. For others it may involve pursuits, hobbies, or activities that involve the mastery of new competencies.

This is explored in the insightful documentary below, detailing how the acquisition of art skills enhanced resiliency among a group of people with mental illness. Interestingly, skill-acquisition in a group setting maybe especially effective, as this gives an added benefit of social support, which also fosters resiliency.

<iframe width=”560″ height=”315″ src=”https://www.youtube.com/embed/4p3gSaJU1Mg” frameborder=”0″ allow=”accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture” allowfullscreen></iframe>

Goal setting

Much research indicates that the setting and meeting of goals facilitates the development of resilience. This helps develop will-power, as well as the ability to create and execute an action plan. Goals may vary in size, depending on individual circumstances, but often involve a series of short achievable steps.

For one person, it may be related to physical health, for example exercising more regularly. For another, it may be related to social or emotional goals, such as visiting family and friends more frequently. Goal setting that involves skill-acquisition, for example learning a new language, will have a double benefit.

Interestingly, some research indicates that goal-setting involving a sense of purpose and meaning beyond the individual self (e.g. volunteering or religious involvement) can be particularly useful for resiliency. This may give a deeper sense of coherence and connection, valuable in times of trouble.

Controlled exposure

This involves the slow and gradual exposure to anxiety-provoking situations, thus helping individuals overcome debilitating fears. Numerous studies indicate that controlled exposure can foster resilience. Controlled exposure can offer a triple benefit when it involves skill-acquisition and goal-setting.

For example, public speaking is a valued skill that can help people advance in life. People who are fearful of public speaking can acquire this skill through setting small goals involving controlled exposure. They can start with an audience of one or two friends, progressively expanding their audience over time.

A controlled exposure action-plan can be self-initiated, or developed in tandem with a therapist trained in Cognitive Behavioral Therapy. Again, successful efforts will result in increased self-esteem, as well as an enhanced sense of mastery and autonomy. This can be harnessed to surmount future challenges.

Conclusion

An amassed body of research suggests that resilience can be developed and cultivated over the life course through simple (though challenging) self-initiated activities. This often involves discipline, will-power and hard-work, but the results will be bountiful: greater autonomy, mastery and confidence.

Try it and see for yourself.

 

SOURCE

PTSD And Trauma: Not Just For Veterans

When we think about posttraumatic stress disorder (PTSD), it’s typically in the context of active duty service members and veterans—for good reason. Dangerous and potentially traumatic situations are common occurrences in the context of military service. However, it’s important to note that PTSD is not exclusive to this type of trauma.

In the U.S., about eight million people experience PTSD. While any traumatic experience can lead to PTSD, there are a few types of trauma that are the most common. Examples include sexual assault/abuse, natural disasters, accidents/injuries to self or other, or being in a life-threatening situation. When you consider these examples, it’s understandable why people would associate PTSD most frequently with military service members. However, this assumption can be problematic.

If people believe that only service members and veterans can develop PTSD, the recognition of symptoms and treatment can be delayed. The fact is: Anyone can develop PTSD when they experience or witness a traumatic event—adult or child, man or woman. Anyone.

How Do You Know If You Have PTSD?

About 50% of all people will go through at least one traumatic experience in their lifetime. But not everyone will develop PTSD. In fact, the majority won’t. However, it can be difficult to distinguish between the typical symptoms that follow a traumatic event and when it has reached the point that a condition like PTSD has developed.

It’s common for people who experience trauma to have nightmares or flashbacks for a few weeks and then gradually improve. It’s when those symptoms don’t improve and begin to interfere with a person’s life that a mental health evaluation should be considered. A person who experiences the following intense symptoms for more than a month may have PTSD:

  • At least one “re-experiencing” symptom (flashbacks, bad dreams, frightening thoughts)
  • At least one avoidance symptom (avoiding thoughts, feeling, places, objects or events related to the traumatic experience)
  • At least two arousal and reactivity symptoms (easily startled, feeling tense, difficulty sleeping, outbursts of anger)
  • At least two cognition and mood symptoms (difficulty remembering details of the traumatic experience, negative thoughts, distorted feelings, loss of interest)

It’s important to note that PTSD-related symptoms may not occur immediately after the traumatic event; they may not surface until weeks or months afterwards. Another major, key difference between typical reactions and PTSD is that while most will remember the fear they felt during trauma, PTSD can cause a person to actually feel as if they are reliving that fear.

What Should You Do After Trauma?

If a person feels supported by friends and family after a traumatic event, it can reduce the risk of developing symptoms of PTSD. It can also be helpful for a person to join a support group, so they can share their thoughts, fears and questions with other people who have also experienced trauma. Using healthy, positive coping strategies—such as exercise, mediation or playing an instrument—can also be helpful.

If symptoms persist, it’s essential to seek treatment. Those with PTSD typically respond better to structured therapies such as:

  • Cognitive behavioral therapy (CBT) – helps a person replace their negative thoughts and behaviors with positive ones
  • Eye movement desensitization and reprocessing (EDMR) – exposes a person to traumatic memories with varying stimuli, such as eye movements
  • Exposure therapy – helps a person safely face their fears so they can learn to cope with them
  • Imagery rehearsal therapy (IRT) – is a new treatment for reducing the intensity and frequency of nightmares

If you or someone you know is having a difficult time coping with trauma, these interventions can make a huge difference. PTSD is treatable. It’s more effective if treated early, but it’s never too late to get treatment no matter how long ago the trauma occurred.

Trauma is a part of life—it affects most people at some point. But that doesn’t mean it’s a mundane experience that can be ignored or brushed off. The key is to check-in on symptoms and seek care from a mental health professional if they persist.

Whether you’re a military service member, veteran, salesperson or elementary school student, PTSD has the potential to develop in any of us. And if it does, please know that help is available. No one should face PTSD alone.

Laura Greenstein is communications coordinator.

https://www.nami.org/Blogs/NAMI-Blog/November-2017/PTSD-and-Trauma-Not-Just-for-Veterans